Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A)

SummaryAlthough the Hamilton Rating Scale for Depression (HRSD) is the most frequently used rating scale for quantifying depressive states, it has been criticized for its reliability and its usability in clinical practice. This criticism is less applying to the Montgomery-Asberg Depression Rating Scale (MADRS). Goal of the present study is to investigate the reliability and validity, and clinical relationship between the HRSD and the MADRS. For 60 out-patients with diagnosed depression (DSM IV296.2x, 296.3x, 300.40 and 311.00), the HRSD and MADRS were scored at baseline and 6 weeks later by an independent rater according to a structured interview. Also the Clinical Global Impression (CGI) was assessed by a psychiatrist. Satisfying agreement was found between the totalscores (r= .75, p>.000 en r=.92, p>.000 respectively, at baseline and 6 weeks later). Furthermore agreement was found between the items of both scales, and these agree with the clinical impression. The reliability of the MADRS is more stable than the reliability of the HRSD (α = .6367 and α =.8900 vs α = .2193 and α = .8362 at baseline and at endpoint respectively). Considering the ease of scoring both scales in one interview and the widely international use of the HRSD, scoring both the HRSD and the MADRS to measure the severity of a depression seems to be an acceptabel covenant.

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Effectiveness of duloxetine on severity of pain and quality of life in chronic low back pain in patients who had posterior spinal fixation

Journal of Orthopaedics Trauma and Rehabilitation ◽

10.1177/2210491720983333 ◽

2021 ◽

pp. 221049172098333

Author(s):

Arezoo Samadi ◽

Razieh Salehian ◽

Danial Kiani ◽

Atefeh Ghanbari Jolfaei

Keyword(s):

Quality Of Life ◽

Back Pain ◽

Rating Scale ◽

Low Back ◽

Spinal Fixation ◽

Post Intervention ◽

Significant Difference ◽

Hamilton Anxiety Rating Scale ◽

Hamilton Anxiety

Background: In this study, we want to search the effectiveness of Duloxetine on the severity of pain and quality of life in patients with chronic low back pain who had posterior spinal fixation. Methods: In this randomized, placebo-controlled trial done in 6 months 50 patients who had CLBP and were candidates for PSF surgery selected and divided into two groups (drug and placebo). They filled the VAS, SF-36, and Hamilton questionnaires before surgery and after 6 weeks from using 30 mg of duloxetine or placebo. Results: Significant differences were evidenced among groups for the Visual Analogue Scale (P = 0.005) and Verbal Analogue Scale (p = 0.003). Patients in the Duloxetine group have more visual and verbal pain scores than the placebo group. In the quality of life, there was a significant difference between the two groups before the intervention. Also, significant differences were evidenced among groups for the Hamilton Anxiety Rating Scale (p = 0.17). After the intervention, only the Hamilton Anxiety Rating Scale (p = 0.001) and ‘bodily pain’ and ‘general health’ subscales of quality of life (p = 0.008, 0.004, respectively) have a significant difference between the two groups. There was a significant difference between pre and post-intervention in the Hamilton Anxiety Rating Scale only in the duloxetine group. Also, in terms of quality of life, the subscales of ‘physical role’, ‘emotional role’, ‘physical pain’ and ‘total score of quality of life’ in the duloxetine and placebo groups were significantly different between pre and post-intervention. However, the subscales of ‘physical function’ and ‘general health’ were significantly different only in the duloxetine group between pre and post-intervention. Conclusion: The results suggest that the use of duloxetine in patients who had spinal surgery can help to better control back pain, on the other hand, it can cause a better psychological condition that affects the quality of life.

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PENERAPAN TERAPI SENI DALAM MENGURANGI KECEMASAN PADA PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGA DI JAKARTA

Jurnal Muara Ilmu Sosial, Humaniora, dan Seni ◽

10.24912/jmishumsen.v2i1.1620 ◽

2018 ◽

Vol 2 (1) ◽

pp. 77

Author(s):

Mario Carl Joseph ◽

Monty P. Satiadarma ◽

Rismiyati E. Koesma

Keyword(s):

Rating Scale ◽

Purposive Sampling ◽

Hamilton Anxiety Rating Scale ◽

Hamilton Anxiety

Kekerasan dalam rumah tangga adalah bentuk kekerasan yang paling banyak dialami oleh perempuan berusia 25 – 40 tahun. Kecemasan merupakan salah satu bentuk reaksi emosional yang menyertai perempuan ketika mengalami kekerasan dalam rumah tangga. Kecemasan pada perempuan yang menjadi korban kekerasan dalam rumah tangga diukur dengan Hamilton Anxiety Rating Scale (HARS) dan melihat gejala kecemasan dari segi kognitif, somatis, motorik dan afektif. Penelitian ini menggunakan metode kualitatif untuk menggambarkan kecemasan dan metode kuantitatif untuk melihat penurunan tingkat kecemasan dengan terapi seni pada perempuan korban kekerasan dalam rumah tangga. Subyek penelitian ini adalah dua perempuan yang telah bercerai dan mengalami kekerasan dalam rumah tangga dalam bentuk fisik, seksual, psikis atau verbal dan penelantaran rumah tangga. Teknik pengambilan sampel dengan menggunakan metode purposive sampling. Pemberian terapi seni pada masing-masing subyek dilakukan sebanyak tujuh sesi. Dalam penelitian ini, terapi seni telah terbukti dapat mengurangi kecemasan pada perempuan korban kekerasan dalam rumah tangga dengan menunjukan perubahan tingkat kecemasan sebelum dan sesudah intervensi. Keberhasilan terapi seni ini juga dipengaruhi oleh adanya kesadaran pada masing-masing subyek untuk konsisten menjalani terapi.

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Faktor-Faktor yang Berhubungan dengan Tekanan Darah pada Masa Pandemi Covid-19

Jurnal Ilmu Kesehatan ◽

10.24929/jik.v5i2.1089 ◽

2020 ◽

Vol 5 (2) ◽

pp. 61-67

Author(s):

Widiharti Widiharti ◽

Wiwik Widiyawati ◽

Widya Lita Fitrianur

Keyword(s):

Rating Scale ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Hamilton Anxiety Rating Scale ◽

Hamilton Anxiety

Tekanan darah adalah faktor penting dalam sistem sirkulasi tubuh manusia. Tekanan darah dapat dengan mudah berubah meski dalam hitungan detik (Sasmalinda, Syafriandi, & Helma, 2013). Pada 2 Maret 2020, pemerintah Indonesia pertama kali mengumumkan dua kasus pasien postif Covid-19. (Pranita, 2020). Pasien tidak berani melakukan pemeriksaan ke rumah sakit, sehingga jika ada keluhan yang tidak begitu berat mereka akan membeli obat di apotik tanpa mengetahui tekanan darahnya. Hal ini sangat mengkhawatirkan karena tekanan darah yang tidak terkontrol dapat menyebabkan komplikasi lain seperti stroke. Tujuan penelitian menganalisis faktor yang berhubungan dengan tekanan darah. Desain penelitian analitik observasional, dengan pendekatan Cross Sectional (Notoatmodjo, 2012). Pelaksanaan bulan Maret – Mei 2020. Populasi dari Seluruh warga babatan RT 8 RW 2 Kelurahan Babatan Kecamatan Wiyung sebanyak 110 orang. Teknik Sampel total sampling. Variabel independen; jenis kelamin, beban kerja, pendapatan, tingkat kecemasan dan riwayat keluarga. Variabel dependen; tekanan darah. Instrument penelitian; timbangan injak digital, tensi digital, dan kuesioner. Variabel Tingkat kecemasan menggunakan HARS (Hamilton Anxiety Rating Scale). Dianalisis uji statistik Chi Square dengan nilai p value <0.05. Hasil penelitian chi square beban kerja nilai p-value 0,004<0,005 ada hubungan beban kerja dengan tekanan darah. Hasil p – value 0,002<0,05 ada hubungan antara jenis kelamin dengan tekanan darah. Hasil p value 0,463<0,05 tidak ada hubungan antara tingkat kecemasan, hasilnya p – value 0,000<0,05 ada hubungan riwayat keluarga dengan tekanan darah. Kesimpulan faktor yang berhubungan dengan tekanan darah yaitu jenis kelamin, beban kerja, pendapatan, riwayat keluarga sedangkan faktor yang tidak berhubungan dengan tekanan darah yaitu kecemasan

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Factors Related to Anxiety Events in Parkinson's Patients in Dr. M Djamil Padang

Biomedical Journal of Indonesia: Jurnal Biomedik Fakultas Kedokteran Universitas Sriwijaya ◽

10.32539/bji.v7i2.282 ◽

2021 ◽

Vol 7 (2) ◽

pp. 242-246

Author(s):

Yoga Setia Kurniawan ◽

Yuliarni Syafrita ◽

Restu Susanti

Keyword(s):

Marital Status ◽

Significant Relationship ◽

Rating Scale ◽

Univariate Analysis ◽

P Value ◽

Research Subjects ◽

Duration Of Illness ◽

Hamilton Anxiety Rating Scale ◽

Age And Sex ◽

Hamilton Anxiety

Introduction : Anxiety is one of the most non-motorized symptoms in patients with Parkinson's which greatly affects the quality of life, but in clinical practice it is often neglected. Anxiety in patients with Parkinson's can accelerate motor deterioration / disability and also increase mortality. Methods: This cross-sectional study was conducted at the Neurology polyclinic Dr. M Djamil Padang from July to December 2020 in patients who had been diagnosed with Parkinson's Disease (PD) by excluding secondary Parkinson's and a history of stroke. Anxiety was measured using the Hamilton Anxiety Rating Scale (HARS). The research subjects were 60 people. Univariate analysis to present baseline characteristics and bivariate tests assessed factors associated with anxiety and the relationship between variables. A p value <0.05 was considered statistically significant. Results: Most of the subjects were male (55%) with a mean age of 58.05 ± 9.7 years and disease duration of 6.35 ± 5.29 years. By examining the Hamilton Anxiety Rating Scale (HARS), it was obtained 38.3% of Parkinson's sufferers with anxiety. There is a significant relationship between marital status, duration of illness and degree of disease with the incidence of anxiety (p <0.05) and there is no significant relationship between age and sex with the incidence of anxiety in patients with Parkinson's. Conclusion: There is a significant relationship between marital status, duration of illness and degree of disease with the incidence of anxiety in patients with Parkinson's and there is no relationship between age and sex with the incidence of anxiety in patients with Parkinson's.

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